Improving quality of care has been a necessary goal for family planning programme worldwide. The unmet need for family planning services in Ethiopia is believed to be high (26%) while the already available services do not appear to be optimally used by potential clients. It was assessed the quality of family planning services provision. Facility based quantitative and qualitative cross-sectional study based on James Bruce analytical framework was employed from May 1-30, 2016. Three hundred one (301) family planning service users for exit interview and 40 female clients observed while taking service and 4 service providers from four health centers participated for in-depth interview. Facility audit was made on four health centers. Linear regression was used for data analysis. Based on the overall satisfaction score; 68.8% of clients were satisfied in family planning services. Having more children, currently breast feeding, discussion of family planning with husband or partner, and family size were the significant predictors of client satisfaction to family planning services. It revealed that, for a single individual increase in family size the satisfaction score decreases on average by 0.8 at p=0.007, CI (0.005-0.034). For a unit increase in need to have more child, client satisfaction decreases by 0.947 at p=0.002, CI (0.019, 0.088). Utilization of information, education and communication material during consultations was low (65%). Providers didn’t assessed critical information’s in more than two third of observed sessions of history taking and physical examinations. Hence, service providers should be sensitized and motivated to give complete information on a method to the client. The way family planning providers comply with guideline recommendations and utilize information, education and communication materials consistently during client consultations need to be designed by respective health centers.
| Published in | American Journal of Clinical and Experimental Medicine (Volume 9, Issue 4) |
| DOI | 10.11648/j.ajcem.20210904.12 |
| Page(s) | 86-101 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Family Planning, Quality, Kersa Woreda
| [1] | Scott A, Glasier A. Evidence based contraceptive choices, Best Practice Research Clinical Obstetrics & Gynecology. 2006; 20 (5): 665-680. PMid: 16707277 http://dx.doi.org/10.1016/j.bpobgyn.2006.03.002, accessed date November 17, 2015. |
| [2] | Basavanthappa BT. Community Health Nursing. 2nd edition. Jaypee Publishers. New Delhi: 2008. 561-562. http://dx.doi.org/10.5005/jp/books/10159, accessed date November 10, 2015. |
| [3] | Mona Sharan, Saifuddin Ahmed, John May, and Agnes Soucat. Family Planning Trends in Sub-Saharan Africa: Progress, Prospects, and Lessons Learned), accessed date November 22, 2015. |
| [4] | Kamell R, Wassif S. Population Problem In Egypt As One of The Priority Health Problems In Tropical Areas. Zagazig Journal of Occupation Health and Safety. 2008; 1 (2): 87. |
| [5] | ICPD Goals: Essential to the Millennium Development Goals Marianne Haslegrave and Stan Bernstein Page 106 of 106-108). |
| [6] | Mini Ethiopian Demographic Health Survey, 2014. |
| [7] | Saumya R., and Raji M.: The Quality of Family Planning Programs: Concepts, Measurements, Interventions, and effects, 2003. |
| [8] | Bongaarts J: poverty, gender, and youth: Fertility Transitions in Developing Countries: Progress or Stagnation? Working paper (7), 2008. |
| [9] | Jimma zone Health Department five years HMIS report (2002-2007 E. C), Unpublished. |
| [10] | Loha. E, Asefa M, J. Chali, T. Fasil. Assessment of quality of care in F/P service in Jima Zone: 2003. Ethiop. J. Health Dev. 2003; 18 (1): 8-18. |
| [11] | Tafese, F.; Woldie, M.; Megerssa, B.: Quality of Family Planning Services. Ethiop. J. Health Sci. 2013 23 (3): 245-254. |
| [12] | Kersa woreda health office third quarter activity achievement report of 2008 EC. |
| [13] | Tseganeh W: Assessment of quality of family planning Service, Bahar-dar special zone, Amhara regional state, May 2005. |
| [14] | Quick Investigation of Quality (QIQ): A User's Guide for Monitoring Quality of Care in Family Planning; MEASURE Evaluation Manual Series, No. 2 February 2001. |
| [15] | Elsayda H N., Hanan E H.: Association between quality of family planning services and client’s satisfaction level in maternal and child health centers in Port Said city, 2015. http://dx.doi.org/10.5430/jnep.v6n1p85. |
| [16] | Kondale, M.: Quality of family planning services from clients’ perspectives in the health facilities of dale woreda, sidama zone, south Ethiopia. |
| [17] | Fantahun M. Quality of family planning services in Northwest Ethiopia. Ethiopia. J. Health Dev. 2005; 19 (3): 195-20. |
| [18] | Michaela. Koening, GillianH. C. Foo, and Ketan Joshi. Quality of care within the India family planning welfare program: a review of recent evidence. Studies in family planning 2000; 31 [1]: 1-18. |
| [19] | Mitike G. quality of Family Planning Service in the Health Facilities of East Shoa Zone, Oromia Regional State, Ethiopia 2008. |
| [20] | Ministry of Health, Division of Family Health, Population Council, Africa Operations Research and Technical Assistance Project, 1995; (3): 16. USAID Contract No. ccp-3030-c-00-3008-0. |
| [21] | Umanga D. Silva and Pushpa Fonseka. Quality of care in government family planning clinic services in Colombo District. Ceylon Medical J. December 2008. Vol. 53, No. 4, 121-27. |
| [22] | Asfaw Y. Assessment of quality of care in family planning service in AA, 1995). |
| [23] | Frameworks for improving quality of services have common features, including a client emphasis. Network: Fall 1998, Vol. 19, No. 1. |
| [24] | Masoumeh Simbar, Mahboobeh Ahmadi, Golnoosh Ahmadi, Hamid Reza and Alavi Majd. Quality assessment of family planning services in urban health centers of Shahid Beheshti Medical Science University Iran. International Journal of Health Care Quality Assurance. 2006, Volume. 19, No. 5. |
| [25] | Semu, Y. Clients’ satisfaction with family planning service in Guji zone, oromia regional state, Ethiopia, 2014. |
APA Style
Tarekegn Jabara, Elias Ali, Zalalem Kaba. (2021). Quality of Family Planning Services in Kersa Woreda, Jimma Zone, Southwest Ethiopia: A Facility Based Cross-Sectional Study. American Journal of Clinical and Experimental Medicine, 9(4), 86-101. https://doi.org/10.11648/j.ajcem.20210904.12
ACS Style
Tarekegn Jabara; Elias Ali; Zalalem Kaba. Quality of Family Planning Services in Kersa Woreda, Jimma Zone, Southwest Ethiopia: A Facility Based Cross-Sectional Study. Am. J. Clin. Exp. Med. 2021, 9(4), 86-101. doi: 10.11648/j.ajcem.20210904.12
AMA Style
Tarekegn Jabara, Elias Ali, Zalalem Kaba. Quality of Family Planning Services in Kersa Woreda, Jimma Zone, Southwest Ethiopia: A Facility Based Cross-Sectional Study. Am J Clin Exp Med. 2021;9(4):86-101. doi: 10.11648/j.ajcem.20210904.12
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.ajcem.20210904.12,
author = {Tarekegn Jabara and Elias Ali and Zalalem Kaba},
title = {Quality of Family Planning Services in Kersa Woreda, Jimma Zone, Southwest Ethiopia: A Facility Based Cross-Sectional Study},
journal = {American Journal of Clinical and Experimental Medicine},
volume = {9},
number = {4},
pages = {86-101},
doi = {10.11648/j.ajcem.20210904.12},
url = {https://doi.org/10.11648/j.ajcem.20210904.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajcem.20210904.12},
abstract = {Improving quality of care has been a necessary goal for family planning programme worldwide. The unmet need for family planning services in Ethiopia is believed to be high (26%) while the already available services do not appear to be optimally used by potential clients. It was assessed the quality of family planning services provision. Facility based quantitative and qualitative cross-sectional study based on James Bruce analytical framework was employed from May 1-30, 2016. Three hundred one (301) family planning service users for exit interview and 40 female clients observed while taking service and 4 service providers from four health centers participated for in-depth interview. Facility audit was made on four health centers. Linear regression was used for data analysis. Based on the overall satisfaction score; 68.8% of clients were satisfied in family planning services. Having more children, currently breast feeding, discussion of family planning with husband or partner, and family size were the significant predictors of client satisfaction to family planning services. It revealed that, for a single individual increase in family size the satisfaction score decreases on average by 0.8 at p=0.007, CI (0.005-0.034). For a unit increase in need to have more child, client satisfaction decreases by 0.947 at p=0.002, CI (0.019, 0.088). Utilization of information, education and communication material during consultations was low (65%). Providers didn’t assessed critical information’s in more than two third of observed sessions of history taking and physical examinations. Hence, service providers should be sensitized and motivated to give complete information on a method to the client. The way family planning providers comply with guideline recommendations and utilize information, education and communication materials consistently during client consultations need to be designed by respective health centers.},
year = {2021}
}
TY - JOUR T1 - Quality of Family Planning Services in Kersa Woreda, Jimma Zone, Southwest Ethiopia: A Facility Based Cross-Sectional Study AU - Tarekegn Jabara AU - Elias Ali AU - Zalalem Kaba Y1 - 2021/07/22 PY - 2021 N1 - https://doi.org/10.11648/j.ajcem.20210904.12 DO - 10.11648/j.ajcem.20210904.12 T2 - American Journal of Clinical and Experimental Medicine JF - American Journal of Clinical and Experimental Medicine JO - American Journal of Clinical and Experimental Medicine SP - 86 EP - 101 PB - Science Publishing Group SN - 2330-8133 UR - https://doi.org/10.11648/j.ajcem.20210904.12 AB - Improving quality of care has been a necessary goal for family planning programme worldwide. The unmet need for family planning services in Ethiopia is believed to be high (26%) while the already available services do not appear to be optimally used by potential clients. It was assessed the quality of family planning services provision. Facility based quantitative and qualitative cross-sectional study based on James Bruce analytical framework was employed from May 1-30, 2016. Three hundred one (301) family planning service users for exit interview and 40 female clients observed while taking service and 4 service providers from four health centers participated for in-depth interview. Facility audit was made on four health centers. Linear regression was used for data analysis. Based on the overall satisfaction score; 68.8% of clients were satisfied in family planning services. Having more children, currently breast feeding, discussion of family planning with husband or partner, and family size were the significant predictors of client satisfaction to family planning services. It revealed that, for a single individual increase in family size the satisfaction score decreases on average by 0.8 at p=0.007, CI (0.005-0.034). For a unit increase in need to have more child, client satisfaction decreases by 0.947 at p=0.002, CI (0.019, 0.088). Utilization of information, education and communication material during consultations was low (65%). Providers didn’t assessed critical information’s in more than two third of observed sessions of history taking and physical examinations. Hence, service providers should be sensitized and motivated to give complete information on a method to the client. The way family planning providers comply with guideline recommendations and utilize information, education and communication materials consistently during client consultations need to be designed by respective health centers. VL - 9 IS - 4 ER -
Information
Email: